Should You See an Orthopedic Doctor for Meniscus or Ligament Injuries?
Meniscus/Ligament Injury? Dear Doctors, Hello, I would like to know if I should see an orthopedic doctor for a possible meniscus/ligament injury (as described below). I have consulted several doctors; some suggested rheumatoid issues, while others indicated potential damage to t...
Dr. Hong Ximing Reply:
Hello! Based on the symptoms you described, it is evident that you have a meniscus injury in your left knee, which has also affected your patellar chondromalacia. It is necessary to perform arthroscopic surgery for diagnosis and treatment, as MRI can only provide an examination. ...[Read More] Should You See an Orthopedic Doctor for Meniscus or Ligament Injuries?
Understanding Knee Pain After Sleep: When to See an Orthopedic Specialist
Knee pain from sleeping? Hello: Last night while I was sleeping, I suddenly felt my right knee cap slide outward a bit (I have had both knees experience patellar dislocation, and my right knee has undergone surgery). The pain was excruciating (exactly like the pain I felt during ...
Dr. Shi Guozheng Reply:
It is necessary to see a physician for these symptoms, as the presence of joint pain indicates that there may be issues with the joint alignment or the cartilage. If there has been a previous dislocation, it could lead to the recurrence of subluxation.[Read More] Understanding Knee Pain After Sleep: When to See an Orthopedic Specialist
Understanding Knee Pain and Ligament Tightness: Causes and Remedies
Knee joint soreness with a sensation of ligament tightness? Hello, about a month ago, I started feeling soreness around the patella of my right knee due to increased frequency and intensity of playing tennis. After consulting a physician, I was informed that it was due to cartila...
Dr. Xu Zhaoren Reply:
It could be due to jumping or patellofemoral arthritis, possibly from overuse, and a physical examination is necessary for diagnosis. Treatment options include: 1. Reducing activity level 2. Performing quadriceps exercises 3. Taking glucosamine (MOVE FREE) 4. Using anti-inflammat...[Read More] Understanding Knee Pain and Ligament Tightness: Causes and Remedies
Understanding Patellar Malalignment: Risks and Recovery from Surgery
Regarding patellar valgus...??? Hello Dr. Lin: I have had knee problems for several years now. I have seen many doctors, some of whom said it was "osteoarthritis," while others mentioned "meniscal wear and tear." During this time, I followed the doctors' ...
Dr. Lin Gengxiao Reply:
1. Knee pain is commonly seen in middle-aged women, with various potential causes such as degeneration of the articular cartilage (femur, tibia, and patella), osteoarthritis, and injuries to the surrounding ligaments and soft tissues of the knee joint. 2. Conventional medicatio...[Read More] Understanding Patellar Malalignment: Risks and Recovery from Surgery
Managing Rheumatoid Arthritis: Surgery vs. Medication and Rehab Options
Rheumatoid Arthritis About eight years ago, I sustained a ligament injury. At that time, I did not undergo surgical treatment, but my foot has been experiencing intermittent pain. Recently, I went to the hospital for an X-ray, and the doctor mentioned that the bones in my knee ar...
Dr. Shi Guozheng Reply:
You may first consider trying rehabilitation and medication treatment. Is the imbalance of the patella referring to patellar valgus or lateral displacement? This needs to be clarified. If so, arthroscopic surgery may help improve the condition.[Read More] Managing Rheumatoid Arthritis: Surgery vs. Medication and Rehab Options
Understanding Post-ACL Reconstruction: Concerns About Stability and Recovery
Post-Operative Care After Anterior Cruciate Ligament Reconstruction Surgery Hello Dr. Hong: The surgeon who performed my operation told me that one-third of the patellar ligament was used to reconstruct the posterior cruciate ligament (PCL). I remember that before the surgery, wh...
Dr. Hong Ximing Reply:
Hello Mark, thank you for your message. After anterior cruciate ligament reconstruction, there may still be some forward movement of the tibia, which could be due to the differing tightness of the anterior and posterior cruciate ligaments. If it is mild, it should be manageable, ...[Read More] Understanding Post-ACL Reconstruction: Concerns About Stability and Recovery
Do I Really Need Surgery for My ACL Injury? Expert Insights
This is a medical record diagnosed by National Taiwan University Hospital. Is surgery absolutely necessary? The patient is a 26-year-old male who is slightly overweight and needs to lose weight. He recently sought medical attention at National Taiwan University Hospital due to kn...
Dr. Luo Zhaozhong Reply:
Hello: According to the MRI report, there is evidence of anterior cruciate ligament injury, although the extent is unclear. Clinically, if conservative treatment is ineffective, it is still recommended to perform an arthroscopic examination of the knee joint for confirmation. Thi...[Read More] Do I Really Need Surgery for My ACL Injury? Expert Insights
Managing Patellar Malalignment: Exercise Tips for Strengthening
Exercise for Patellar Chondromalacia In addition to practicing leg raises on the floor daily for strength training, will using a slide board at the gym worsen the condition? I experience soreness after about half an hour of use. Is it also advisable to use a stationary bike? Will...
Dr. Sun Ruisheng Reply:
Patellar chondromalacia is a condition characterized by the softening of the cartilage on the patella, and activities that increase patellar pressure should be avoided. Exercises such as using a treadmill or stationary bike can increase patellar pressure and should be avoided.[Read More] Managing Patellar Malalignment: Exercise Tips for Strengthening
Understanding Knee Cartilage Growth: Symptoms, Surgery, and Recovery
Cartilage (tissue) growth next to the knee? Hello Dr. Luo: My husband (37 years old) discovered a small cartilage growth next to his knee four years ago (it only appears when bending the knee). Due to his busy work schedule and the fact that it wasn't very painful, he hasn&#...
Dr. Luo Zhaozhong Reply:
Hello: The knee is composed of four main bones: the femur, tibia, patella, and fibula. If there is uncertainty about where the growth is occurring, and if the cartilage volume is small without affecting the surrounding soft tissues, it is generally advisable to observe the situat...[Read More] Understanding Knee Cartilage Growth: Symptoms, Surgery, and Recovery
Understanding Patellar Malalignment: Causes, Symptoms, and Treatment Options
Patellar valgus Aside from childbirth, I have been diagnosed with patellar valgus after a knee joint examination. Occasionally, I experience pain when climbing stairs. Currently, I am not undergoing any treatment, but I often feel soreness in my entire leg. Could this be caused b...
Dr. Sun Ruisheng Reply:
Patellar valgus is generally congenital and not caused by childbirth. If there are no symptoms, no special treatment is necessary. However, if symptoms persist and worsen, surgical intervention may be considered.[Read More] Understanding Patellar Malalignment: Causes, Symptoms, and Treatment Options
Rehabilitation After Knee Fracture Surgery: When to Start?
After a patellar fracture that requires surgical repair with pins, is rehabilitation necessary? Hello Dr. Chou, My mother slipped and fell at home in early April, resulting in a fracture of the upper part of her knee bone. She received immediate medical attention, underwent surg...
Dr. Zhou Lizhi Reply:
Patellar fractures depend on the degree of comminution and displacement. If properly stabilized, casting may not be necessary; however, in cases of comminuted fractures or in patients with osteoporosis, casting is required. Based on the information from online sources, this appea...[Read More] Rehabilitation After Knee Fracture Surgery: When to Start?
Understanding Patellar Malacia: Diagnosis and Management Insights
Patellar chondromalacia Hello Dr. Yang, My brother is 22 years old and currently serving in the military. He frequently experiences knee pain and swelling. He has undergone X-rays at several major hospitals, all of which showed no abnormalities. Recently, a physician at one hosp...
Dr. Yang Zhengfan Reply:
Dear Mimyuan: Patellar chondromalacia can be confirmed through clinical symptoms, as well as MRI or arthroscopy.[Read More] Understanding Patellar Malacia: Diagnosis and Management Insights
Understanding Patellar Chondromalacia: Causes, Treatment, and Recovery Tips
What is patellar chondromalacia? Hello Dr. Lee: I am currently serving in the military. Recently, I experienced pain in my right knee that has persisted for two years, so I visited the 804 Hospital. The doctor initially diagnosed me with a meniscus tear and recommended arthroscop...
Dr. Li Wenlin Reply:
Hello: In response to your question, patellar chondromalacia is usually of unknown origin and typically occurs after the teenage years. Almost everyone over the age of forty experiences some degree of patellar softening due to aging. Quterbridge classified the observation of pate...[Read More] Understanding Patellar Chondromalacia: Causes, Treatment, and Recovery Tips
Understanding Rare Symptoms in Orthopedic Conditions: A Case Study
Rare symptoms On October 31, 1992, I visited the hospital due to chondromalacia patellae. The doctor instructed me to perform some stretching exercises and quadriceps training. The next day (November 1), while doing the Achilles tendon stretching exercise, I heard a "pop&quo...
Dr. Shi Guozheng Reply:
This type is called a tear fracture. If the displacement is not severe, it can be treated with a cast. Of course, the cast should remain on until healing occurs, which typically takes about six to twelve weeks.[Read More] Understanding Rare Symptoms in Orthopedic Conditions: A Case Study
Understanding Knee Pain: Causes, Management, and Dietary Tips
Knee pain Knee pain... According to my memory, it was caused by playing basketball about 4-5 years ago, likely due to my knee hitting the ground. Both knees have this issue, but the left one is more severe, and there is a noticeable bump when I bend my knee. I still continue to p...
Dr. Su Yiren Reply:
Hello, Xiaozong: A blunt contusion of the patella often leads to long-term discomfort, which is unavoidable. If further arthroscopic examination is considered, most patients end up with just three additional incisions. Since there is no structural fracture in the bone or joint su...[Read More] Understanding Knee Pain: Causes, Management, and Dietary Tips
Understanding Meniscus Tears and Cartilage Damage in the Knee
Meniscal cartilage injury and chondromalacia? Hello Dr. Chou, I apologize for taking up your time. I am currently an active-duty soldier, and due to the heavy training load, I have been experiencing pain on the outer side of my right knee, to the point that I limp while walking....
Dr. Zhou Lizhi Reply:
1. The meniscal cartilage serves as a cushion between the femur and the tibial plateau in the knee joint. Its function is to absorb pressure and friction during knee movements. When damaged or uneven, it can cause pain and a sensation of locking during motion. If medication does ...[Read More] Understanding Meniscus Tears and Cartilage Damage in the Knee
Can I Walk and Drive After My Patella Fracture Recovery?
Can I resume normal activities? Dear Dr. Yang, I apologize for bothering you again! I would like to ask about my patellar fracture, which is classified as a second-degree fracture. After a month of being in a cast, it is about to be removed, but the X-ray shows that the fracture...
Dr. Yang Zhengfan Reply:
Dear Xiaozhu, I have reviewed my previous response to you, and I still believe I was correct. A previously fractured patella does not have any warranty period. The X-ray shows that the bone has not healed, which means it remains unhealed. Of course, bending could potentially incr...[Read More] Can I Walk and Drive After My Patella Fracture Recovery?
Understanding Recurrent Patellar Fractures: Recovery and Concerns
Right knee patella re-fracture? Dear Dr. Yang, I would like to ask you a question: Three months ago, I suffered a patellar fracture due to an accident. After surgery, the fracture was stabilized with bone screws. Three weeks ago, I experienced severe pain due to the displacement...
Dr. Yang Zhengfan Reply:
Dear Xiaozhu, the typical healing time for fractures is about three months. However, we wait until a year to remove the metal pins primarily because we want to avoid severe complications, such as re-fracture, which can depend on the degree of displacement of the fragments after t...[Read More] Understanding Recurrent Patellar Fractures: Recovery and Concerns
Managing Knee Pain After Skipping Warm-Up: Expert Advice
Experiencing soreness in the right knee joint without warming up before exercise makes it difficult to continue running? Hello Doctor: On December 15, 2003, I experienced pain in my right knee joint while exercising on a treadmill without warming up. I consulted an orthopedic doc...
Dr. Xu Zhaoren Reply:
These symptoms are generally indicative of a patellar ligament or quadriceps strain, commonly referred to as Jumper's Knee. Treatment should include (1) rest, avoiding vigorous activities, and (2) performing isometric exercises for the quadriceps. As the condition improves, ...[Read More] Managing Knee Pain After Skipping Warm-Up: Expert Advice
Understanding Tibial Osteochondritis: Impact on Military Life and Treatment Options
Will it affect my life? Hello, Doctor: The patient is currently serving in the military and is experiencing severe pain in both knees when kneeling due to heavy training. After prolonged squatting, the patient has difficulty standing up. A recent consultation diagnosed "tibi...
Dr. Shi Guozheng Reply:
If tibial tuberosity chondritis does not improve by adulthood and the symptoms are severe, surgery may be considered. The procedure can involve the removal of the prominent bone fragment, and even for surgeries that can lead to healing, a rest period of one to two months is neces...[Read More] Understanding Tibial Osteochondritis: Impact on Military Life and Treatment Options